| Regimental number | 4197 |
| Place of birth | Morwell, Victoria |
| Religion | Church of England |
| Address | Morwell, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs A Derham, Morwell, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Other details |
War service: Egypt, Western Front Medals: British War Medal, Victory Medal |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
